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General NPI Number Information
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NPI Number | 1326563925
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Entity Type | Organization
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Legal Business Name | KAREN JENKINS, LCMHC, LCAS, PLLC
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 708 CROMWELL DR STE C
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City | GREENVILLE
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State | NC
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Zip | 27858-5440
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Country | US
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Telephone | 252-327-3239
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 WILLOW RUN DR
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City | GREENVILLE
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State | NC
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Zip | 27858-1002
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Country | US
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Telephone | 252-327-3239
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | KAREN WIDENHOUSE JENKINS
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Credential | LCMHC,LPC,LCAS,CRC
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Telephone | 252-327-3239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 10305
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 3250
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10305
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 10305
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 3250
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 10305
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License Number State | NC
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Taxonomy #10
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 10305
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License Number State | NC
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Taxonomy #11
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 3250
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License Number State | NC
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Taxonomy #14
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #15
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10305
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License Number State | NC
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